fhc annual report 2012-2013

FLEMINGDON HEALTH CENTRE • FAIRVIEW COMMUNITY HEALTH

ANNUAL REPORT 2012/2013: FORGING AHEAD

15 Month Calendar

T hirty-five years later the truth of this statement is even more evident. Perhaps the only differences

are the speed at which change occurs and the complexity of these changes.

To survive in this fast-paced, fluid environment we must learn new ways of thinking and acting. We need to become adept at strategic thinking. We need to build in opportunities for reflection, allowing us to adapt to better meet the demands of the future.

At times it can feel overwhelming but with the incredible commitment and support from our staff, volunteers (including the Board of Directors), members and clients, we can not only survive – we can forge ahead to a better future.

Here are some significant events from last year :

In June 2012 we discontinued providing x-ray services. A combination of the steady drop in the number of people using the service, the high cost of replacing the aging equipment and the retirement of our technician made this seem like the right time to request a reallocation of the funding to more in-demand programs. As a result we are expanding our chiropody program.

In February 2013 the Board hosted a strategic planning session with a panel of experts from Sunnybrook Health Sciences, Toronto CCAC, TC LHIN and Thorncliffe Neighbourhood Office. It was an excellent start to our planning process which will also include a session to engage our members at the AGM.

February 2013 also saw the opening of the Oriole Food Space. Based on a vision to “build a healthy community, together, through food”, Flemingdon Health Centre, North York Harvest Food Bank, Working Women Community Centre and the City of Toronto worked together for almost 4 years to make this space a reality. Its programs include a food bank, community kitchens, gardening, healthy eating workshops and settlement services.

In March 2013 we completed an extensive evaluation of our South Asian Diabetes Prevention Program

Forging ahead...(SADPP). This innovative project, developed by FHC in 2009, provides diabetes screening and education using culturally-relevant and language-specific resources and activities to South Asians who are 4-6 times more likely to develop diabetes than the general population. We anticipate that the results of the evaluation will prove just how successful the project has been. As a further indication of its value, TC LHIN funding for the project will move from project to ongoing base funding in 2013/14.

Looking forward:

FHC is scheduled to migrate to a fully Electronic Medical Record (EMR) system in September 2013. This is part of a transition plan for all Community Health Centres in Ontario (more than 70) and will be one of the largest deployments of a common EMR solution in the whole of Canada. It will ensure our alignment with the provincial direction for electronic medical records and facilitate higher quality care through improved access to a comprehensive client record by health care providers.

To be successful this transition will require a substantial amount of additional time and effort on the part of our staff and in the short-term will reduce the number of clients we can see. We believe the long-term benefits of an EMR will be worth any initial disruption to our service delivery.

It is change, continuing change, inevitable change, that is the dominant factor in society today.

Isaac Asimov, My Own View, 1978

SEPTEMBER 2013S M T W T F S1 2 3 4 5 6 78 9 10 11 12 13 1415 16 17 18 19 20 2122 23 24 25 26 27 2829 30 OCTOBER 2013

NOVEMBER 2013S M T W T F S

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Sunday Monday Tuesday Wednesday Thursday Friday Saturday Elsewhere in this Annual Report you will find more information about the services we offer, our finances and a list of partners. Finally, we would like to recognize and thank the staff, volunteers, Board of Directors and our donors and funders for their dedication to the cause – without you none of this would be possible.

Raya MukherjeePresident, Board of Directors

John ElliottExecutive Director

Thanksgiving

Food SecurityGrowing Healthy Together Community GardenOur community garden has been visibly strengthened, clients have commented on improved community connection to health services, and improved settlement and social inclusion.

NOVEMBER 2013

March Break Cooking with Kids!

OCTOBER 2013S M T W T F S

1 2 3 4 56 7 8 9 10 11 1213 14 15 16 17 18 1920 21 22 23 24 25 2627 28 29 30 31 NOVEMBER 2013

DECEMBER 2013S M T W T F S1 2 3 4 5 6 78 9 10 11 12 13 1415 16 17 18 19 20 2122 23 24 25 26 27 2829 30 31

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Sunday Monday Tuesday Wednesday Thursday Friday Saturday FOOD SECURITY PROGRAMSFriends of Flemingdon Park Garden Program

Food Access Project

SHOP at Flemingdon Park

Good Food Box Program

Cooking Good Food

Community Kitchen Programs

Colour It Up!

Growing Healthy Together – Garden Project

Oriole Food Space

Local Farm Trips

For details, please visit: www.fhc-chc.com

Peer Health AmbassadorsWith the culmination (March 31, 2013) of our Trillium Peer Health Ambassadors Project, almost 1,400 community members have participated in peer-led programs.

Peer-led programs were facilitated in the following languages: Mandarin, Urdu, English, Spanish, Bengali, Cantonese, Armenian and Farsi.

DECEMBER 2013

Residents of 12 Thorncliffe Park Drive attended a 6 week Chronic Disease Self-Management program.

Peer Ambassadors conducted a Spanish Community Kitchen program.


1 23 4 5 6 7 8 910 11 12 13 14 15 1617 18 19 20 21 22 2324 25 26 27 28 29 30 DECEMBER 2013

JANUARY 2014S M T W T F S

1 2 3 45 6 7 8 9 10 1112 13 14 15 16 17 1819 20 21 22 23 24 2526 27 28 29 30 31

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Sunday Monday Tuesday Wednesday Thursday Friday Saturday PEER-LED PROGRAMSChronic Disease Self-Management

Community Wellbeing

Community Kitchen

South Asian Diabetes Prevention

Prevent Diabetes – One Step at a Time


ChristmasDay Boxing Day

ArtsJANUARY 2014

A few pictures of artwork from our “Joining Our Threads” exhibit

Story Circle

A new expressive arts program encompassing visual art and storytelling was held over 6 weeks with arts organization Diasporic Genius for 12 participants.

Together we developed our creative imagination as we shared stories that brought us closer together.

“Joining Our Threads” Art Valley Park Exhibit

An exhibition of textile art created by youth, women and families from our community expressing their unique identities through fabric collage.

DECEMBER 2013S M T W T F S1 2 3 4 5 6 78 9 10 11 12 13 1415 16 17 18 19 20 2122 23 24 25 26 27 2829 30 31 JANUARY 2014

FEBRUARY 2014S M T W T F S

12 3 4 5 6 7 89 10 11 12 13 14 1516 17 18 19 20 21 2223 24 25 26 27 28

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Sunday Monday Tuesday Wednesday Thursday Friday Saturday


New Year’sDay

Primary CareFEBRUARY 2014

Doctors, nurses, social workers, dietitians and chiropodists work closely to augment our clients’ health.

SERVICE PROVIDER INTERACTIONS

JANUARY 2014S M T W T F S

1 2 3 45 6 7 8 9 10 1112 13 14 15 16 17 1819 20 21 22 23 24 2526 27 28 29 30 31 FEBRUARY 2014

MARCH 2014S M T W T F S

12 3 4 5 6 7 89 10 11 12 13 14 1516 17 18 19 20 21 2223 24 25 26 27 28 2930 31

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Sunday Monday Tuesday Wednesday Thursday Friday Saturday PRIMARY CARE

Primary care team focuses on:

Health and safety program for the facilitiesOccupational health for the staffFlu clinics, STI clinicsPrenatal classes, Breastfeeding Clinic and Support GroupsTeaching family practice residents and other studentsObstetrics – prenatal care, deliveries, post-natal and well-baby careOutreach clinic for seniorsChiropody servicesSocial Work servicesNutrition services

For details, please visit: www.fhc-chc.comFamily Day

WALKING GROUP SUMMER 2012Certified Nordic Pole instructor helped prevent osteoporosis, reduced impact on hip and knee joints, and increased our walking group’s respiratory capacity by 25%.

Physical & Recreational MARCH 2014

YOGA We launched a new fitness program in the winter, involving both a registered and drop-in groups. Seven community members attended the 10-week registered program, which consisted of different health workshops each week, followed by a fitness class.

FEBRUARY 2014S M T W T F S

12 3 4 5 6 7 89 10 11 12 13 14 1516 17 18 19 20 21 2223 24 25 26 27 28 MARCH 2014

APRIL 2014S M T W T F S

1 2 3 4 56 7 8 9 10 11 1213 14 15 16 17 18 1920 21 22 23 24 25 2627 28 29 30


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Sunday Monday Tuesday Wednesday Thursday Friday Saturday PHYSICAL & RECREATIONALPROGRAMSHealthy Living Seniors

Active and Alive

Walking Group

Knitting Club

Yoga

Tai Chi

Dance Fit

Field Trips


VolunteeringAPRIL 2014

Flemingdon Health Centre endeavours to provide meaningful volunteer opportunities for everyone. Adults, youth, and seniors are all welcome and encouraged to be involved in all opportunities at both of our locations: Flemingdon and Fairview sites.

In 2012-13, over 350 youth & adult volunteers contributed approximately 3000 volunteer hours at FHC.

My City is a newcomer youth initiative that aims to decrease isolation for young people who are new to Canada. The program teaches youth to use public transit and visit different parts of the city. They also have an opportunity to be involved in community work. This year, 50 youth were involved and each contributed 12 volunteer hours.

MARCH 2014S M T W T F S

12 3 4 5 6 7 89 10 11 12 13 14 1516 17 18 19 20 21 2223 24 25 26 27 28 2930 31

APRIL 2014MAY 2014

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4 5 6 7 8 9 1011 12 13 14 15 16 1718 19 20 21 22 23 2425 26 27 28 29 30 31


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Sunday Monday Tuesday Wednesday Thursday Friday Saturday VOLUNTEERING

Volunteers help us with:

Administrative support

Data entry

Providing information

Advocacy

Group activities and programs

Interpretation

Assisting at information fairs and community events

Evaluation

Research

Technology support


Good Friday

Flemingdon Health Centre has a long standing tradition as a teaching centre beginning in 1972.

We are affiliated with the University of Toronto through the Department of Family and Community Medicine. We also receive students from the University of Western Ontario, McMaster University, Ryerson University, The Michener Institute and a variety of community colleges.

We receive students from Medicine, Social Work, Health Promotion, Nursing, Chiropody, Nutrition, and Health Administration studies.

Education & TeachingMAY 2014

We ran 5 computer classes per week in our Resource Access Centre, including a beginners Type and Talk, Intermediate Excel, and a Women’s class. That’s an average of 16 students learning each day!

Prenatal program – new collaboration with BBNow, Adventure Place

Women’s Computer classes, Microsoft Office training courses

APRIL 2014S M T W T F S

1 2 3 4 56 7 8 9 10 11 1213 14 15 16 17 18 1920 21 22 23 24 25 2627 28 29 30 MAY 2014

JUNE 2014S M T W T F S1 2 3 4 5 6 78 9 10 11 12 13 1415 16 17 18 19 20 2122 23 24 25 26 27 2829 30

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Sunday Monday Tuesday Wednesday Thursday Friday Saturday EDUCATION PROGRAMSComputer Classes

Community Wellbeing

Employment Access

Forever Young

Love Your Heart

Pre-natal Classes

Outreach Events

Chronic Disease Self-Management

First Aid for Parents and Caregivers


Victoria Day

SupportJUNE 2014

Breastfeeding Support Group: New pilot partnership with Toronto Public Health and Thorncliffe Neighbourhood Office to provide breastfeeding support to new moms and families.

Flemingdon Health Centre also hosts a Breastfeeding Clinic at our Fairview site. This clinic is in collaboration with Toronto Public Health to provide breastfeeding education.

Both programs are drop-in and open to all pregnant and breastfeeding families.

Women Supporting Women attracted an average of 23 women per week for each 10 week cycle.

Mindfulness Based Stress Reduction: A six week group program teaching a variety of meditation practices to help manage stress and effectively deal with chronic pain, depression or anxiety.

Parenting & Play

MAY 2014S M T W T F S

1 2 34 5 6 7 8 9 1011 12 13 14 15 16 1718 19 20 21 22 23 2425 26 27 28 29 30 31 JUNE 2014

JULY 2014S M T W T F S

1 2 3 4 56 7 8 9 10 11 1213 14 15 16 17 18 1920 21 22 23 24 25 2627 28 29 30 31

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Sunday Monday Tuesday Wednesday Thursday Friday Saturday SUPPORT PROGRAMSNew Babies

Soothe Your Skin

Resource Access Centre

Community Wellbeing

Women Supporting Women

Mindfulness based Stress Reduction

CARES project: Cancer Screening

Prenatal Group

Story Circle


Group ActivitiesJULY 2014

GROUP ENCOUNTERS

JUNE 2014S M T W T F S1 2 3 4 5 6 78 9 10 11 12 13 1415 16 17 18 19 20 2122 23 24 25 26 27 2829 30 JULY 2014

AUGUST 2014S M T W T F S

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Sunday Monday Tuesday Wednesday Thursday Friday Saturday GROUP ACTIVITIESFor a full listing of all our group activities at

both our locations, please visit

www.fhc-chc.com/calendar

or drop by and pick up one of our Quarterly

Program Brochures.

Canada Day

The Oriole Foodspace opened in February in partnership with Flemingdon Health Centre, North York Harvest Food Bank, Working Women Community Centre, and the City of Toronto. We have worked for four years to build this space through advocacy and partnership building. The Trillium Foundation has provided the start up funds. Current programs include: Food Bank, Community Kitchens, Youth Community Kitchens, Kids’ Community Kitchens and Settlement Support.

Flemingdon Health Centre joined other health care providers and community groups to rally against the changes to Interim Federal Health Insurance. These changes have reduced which health services are available to refugees and refugee claimants.

AdvocacyAUGUST 2014

JULY 2014S M T W T F S

1 2 3 4 56 7 8 9 10 11 1213 14 15 16 17 18 1920 21 22 23 24 25 2627 28 29 30 31 AUGUST 2014

SEPTEMBER 2014S M T W T F S

1 2 3 4 5 67 8 9 10 11 12 1314 15 16 17 18 19 2021 22 23 24 25 26 2728 29 30

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Fairview clients organized a “thank you” lunch for Toronto Central Local Health Integration Network (TCLHIN, funder) and Fairview staff for the provision of much needed services in the Don Mills area. Representing TCLHIN is Greg Stevens, Senior Consultant, Performance Management.


Civic Holiday

The Step Up March Break program, geared to youth 13 to 16 years old was held for 24 youth for the 6th year. SERVE Canada and Flemingdon Health Centre partnered to deliver this program.

Through teamwork, mental health and diversity education, community projects, and staff mentoring, the youth participants gained valuable experience and greater awareness, practised their interpersonal and cooperation skills, increased their connection to the local community/city and kept engaged during their March Break.

YouthSEPTEMBER 2014

AUGUST 2014S M T W T F S

1 23 4 5 6 7 8 910 11 12 13 14 15 1617 18 19 20 21 22 2324 25 26 27 28 29 3031

SEPTEMBER 2014OCTOBER 2014

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Sunday Monday Tuesday Wednesday Thursday Friday Saturday YOUTH PROGRAMS

Our Youth programs and initiatives seek to provide meaningful educational, recreational and employment opportunities for youth living within our catchment area.

FHC is a proud member of the Youth Service Network (YSN) (ysnwebelong.ca)

Programs include:

Tutor Me Please

Be Scene Magazine

Youth Kitchen

Step Up March Break Program


Labour Day

OCTOBER 2014

Diabetes Prevention

762 South Asians screened

141 participants identified as already living with diabetes

267 participants identified as high-risk of developing diabetes

714 participants attended the Prediabetes Education Workshop

671 participants attended the Diabetes Prevention Workshop

94 mobile clinics and workshops conducted across the city of Toronto

SADPP Referral Composition

SEPTEMBER 2014S M T W T F S

1 2 3 4 5 67 8 9 10 11 12 1314 15 16 17 18 19 2021 22 23 24 25 26 2728 29 30 OCTOBER 2014


12 3 4 5 6 7 89 10 11 12 13 14 1516 17 18 19 20 21 2223 24 25 26 27 28 2930

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Sunday Monday Tuesday Wednesday Thursday Friday Saturday DIABETES PREVENTION

Estimates of diabetes prevalence in Ontario show that 14% of the South Asian population living in Ontario are living with Type 2 Diabetes, compared to 5.2% of the general population. (Lipscombe & Hux, 2007).

In response to this, Flemingdon Health Centre has been offering the South Asian Diabetes Prevention Program since 2009, addressing healthy eating, physical activity and stress as it is affected by resettlement to Canada.

The two-part Program includes:

1. Diabetes Early Detection Clinic and Prediabetes Awareness Workshop (Session 1)

2. Diabetes Prevention Workshop (Session 2)


Thanksgiving

1,742 clients were seen in 2012-13, 87% of them were new

129 group sessions were conducted where a total of 1,654 participants attended

83 clients attended our special session on “Safe Fasting During Ramadan”

Diabetes EducationNOVEMBER 2014

NEW INITIATIVES!

To address accessibility barriers, our dynamic teams of diabetes nurse educators and dietitians are offering their services in Mobile, Community Clinics and Pharmacy Visits.

OCTOBER 2014S M T W T F S

1 2 3 45 6 7 8 9 10 1112 13 14 15 16 17 1819 20 21 22 23 24 2526 27 28 29 30 31 NOVEMBER 2014

DECEMBER 2014S M T W T F S

1 2 3 4 5 67 8 9 10 11 12 1314 15 16 17 18 19 2021 22 23 24 25 26 2728 29 30 31


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Sunday Monday Tuesday Wednesday Thursday Friday Saturday SERVICES

Individual Assessment

Group Education SessionsIntroduction on Diabetes Education Diabetes ManagementPre-diabetes

Special Group SessionsFoot Care Insulin Use and UpdateReview and Support Safe Fasting during Ramadan Healthy Cooking and Eating Physical Activity Nordic Pole Walking Resistance Band Training

Offsite ProgramsMobile ClinicsCommunity ClinicsPharmacy Visits


DECEMBER 2014

2012–13 Financial StatementsSUMMARIZED STATEMENT OF FINANCIAL POSITION(AS AT MARCH 31, 2013)

ASSETSCurrent assetsCash and marketable securities $1,650,653Accounts receivable 210,310Prepaid expenses 228,821

2,089,294Property, plant and equipment 995,818

$3,085,112

LIABILITIES AND NET ASSETSCurrent liabilitiesAccounts payable and accrued liabilities $710,106Due to the Ontario Ministry of Health and Long-Term Care and TC-LHIN 264,161Deferred MOHLTC funding 59,038Deferred other program funding 25,597

1,058,902

Deferred contributions 995,818Net Assets (including restricted and unrestricted) 1,030,392

$3,085,112

SUMMARIZED STATEMENT OF REVENUES AND EXPENSES(FOR THE YEAR ENDED MARCH 31, 2013)

REVENUESOntario Ministry of Health and TC-LHIN grants $7,062,470Deferred Government grants 249,275Interest 24,598Other 184,536Total Revenues $7,520,879

EXPENSESSalaries and benefits $5,420,914Rent 747,525General operating 892,817Medical and office supplies 156,021Amortization of property and equipment 249,275Total Expenses $7,466,552

Less: Refundable to the LHIN (41,914)

Excess of revenues over expenses for the year $12,413

Audited financial statements by PricewaterhouseCoopers LLP are available at the health centre.


12 3 4 5 6 7 89 10 11 12 13 14 1516 17 18 19 20 21 2223 24 25 26 27 28 2930

DECEMBER 2014JANUARY 2015

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Best wishes for 2015 from everyone at FHC!

Boxing DayChristmasDay

Community Partners

Flemingdon Health Centre10 Gateway Boulevard Toronto, Ontario, M3C 3A1T (416) 429-4991 • F (416) 422-3573 E [email protected]

Fairview Community Health5 Fairview Mall Drive, Suite 359 Toronto, Ontario, M2J 2Z1T (416) 640-5298

www.fhc-chc.com

Funding support provided by

Heart and Stroke FoundationHinks Dellcrest CentreHong Fook Mental Health Association

Immanuel Baptist Church

JVS Toronto

Live Green Toronto

Marc Garneau Collegiate InstituteMoorelands

New CirclesNoor Cultural CentreNorth York East and Employment Social ServicesNorth York Harvest Food BankNorth York Seniors CentreNorth York Women’s Centre

O’Connor Community CentreOntario Science CentreOriole Community Center, City of Toronto’s Parks, Forestry and Recreation

Planned Parenthood Toronto

Regent Park Focus Youth Media Arts CentreRent BankRyerson University

St. Mathew the Apostle Oriole Anglican Church TorontoSt. Michael’s Hospital – CARES projectSERVE CanadaSouth Asian Family Support Services (SAFSS)South East Toronto Family Health Team (SETFHT)South Riverdale Community Health CentreSunnybrook Health Sciences Centre

The Michener Institute for Applied Health SciencesThe Needlework Guild of CanadaThe Overlea Senior BuildingThorncliffe Neighbourhood OfficeThorncliffe Ontario Early Years CentreTobacco Control Area Network- TorontoToronto Community Housing CorporationToronto District School Board

8-80s Liveable Communities

Access Alliance Multicultural Health and Community ServicesAction for Neighbourhood ChangeAdvent Lutheran ChurchAdventure Place/Better Beginnings NowAfghan Women OrganizationArt StartsAWIC

Bangla Town Community Centre of BusinessBangladeshi – Canadian Community ServicesBetter Living Health and Community Services

Canadian Diabetes AssociationCanadian National Institute for the Blind (CNIB)Catholic Crosscultural ServicesCentre for Information and Community ServicesCentre de Francophone Community Health CentreChildren’s Aid SocietyCity of Toronto Employment and Social ServicesCity of Toronto Social Development, Finance and AdministrationCommunity Care East YorkCouncillor Shelley Carroll’s Office

Dennis R. Timbrell Resource CentreDon Mills Employment Resource CentreDon Mills Residents AssociationDon Valley East Ontario Early Years CentreDon Valley Local Immigration Partnership

East Toronto Chinese Baptist ChurchEast York Town CentreEvergreen

Fairview Community Information CentreFamily DayFamily Service TorontoFlemingdon Community Legal ClinicFlemingdon Neighborhood ServicesFlemingdon Park LibraryFlemingdon Park MinistryFlemo City MediaFood Share

Gateway Greenbelt InitiativeGateway Public School

Toronto East General HospitalToronto Public HealthToronto Public Health Dental and Oral Health ServicesToronto Public Library Tropicana Summer Jobs for Youth

University of Toronto

Valley Park Middle School

Willowdale Community Legal ServicesWillowdale Ontario Early Years CentreWoodgreen Community ServicesWoodgreen Resource CentreWorking Women Community Centre

fhc annual report 2012-2013

Documents

community health centres

healthy community

women community centre

community kitchens

health care providers

innovative project

sunnybrook health sciences

tc lhin funding